Tuesday, March 25, 2014

What is Perineum?

Watch the video-Reconstruction of Male Perineum ...interesting


Narrow region, Diamond-shaped
Between Mons Pubis/scrotum Anteriorly, between Medial Surface of thigh laterally and between Gluteal folds/Natal Cleft Posteriorly
Boundaries
Bounded by bones forming pelvic outlet
Separated from pelvic cavity Fascia covering inferior surface of pelvic diaphragm and Pelvic Diaphragm (LEVATOR ANI)
Bones: Anterior: PUBIC SYMPHYSIS, Lateral: Ischial Tuberosities
Anterolateral: Ischio-pubic Rami, Posterolateral: Sacrotuberous ligament

Posterior: Sacrum, Coccyx

Superficial Structures of Perineum (Structures of Superficial Perineal Pouch, Lying beneath the Deep Fascia, which is called Colles' Fascia in this region)
Inferior to PERINEAL MEMBRANE & Superior to PERINEAL Fascia (COLLES’ Fascia)
Bounded laterally by Ischio-pubic ramus:
Superficial Perineal Pouch (open & Continuous with scrotum, penis & ant abd.wall)
Contents
Male: Bulb of penis, part of body penis                                                                                                ----Bulbospongiosus,  --Ischiocavernosus muscles
--Superficial Transversus perineal muscles
--Proximal part of spongy urethra
--Perineal branches of internal pudendal vessels and pudendal nerve
Female: Clitoris,                                                                                                                              --Ischiocavernosus Muscle, 
--Bulb of vestibule & surrounding Bulbospongiosus muscle (lying beneath labia majora);              --Greater Vestibular glands, ---Superficial Transverse Perineal muscles
-Perineal branches of internal pudendal vessels and pudendal nerve